RT Book, Section
A1 Becker, Lauren F.
A1 Engeln, Anna
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1202476701
T1 Patient with Deadly Asthma Requires Tracheal Intubation
T2 Hung’s Management of the Difficult and Failed Airway, 4<sup>th</sup> Edition
YR 2024
FD 2024
PB McGraw Hill
PP New York, NY
SN 9781264278329
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1202476701
RD 2023/11/29
AB Emergency  Medical  Services  (EMS)  presents  with  a  26-year-old  female  who  is  agitated  and  combative,  in  severe  respiratory  distress.  Per  EMS  report,  they  have  previously  transported  her  for  asthma  “attacks”  in  the  setting  of  polysubstance  abuse.  On  chart  review,  you  find  that  she  has  been  intubated  in  the  past,  most  recently  2  months  ago  during  which  she  spent  a  week  in  the  intensive  care  unit  (ICU).  During  EMS  transport,  she  received  continuous  aerosolized  albuterol  via  nebulizer  with  minimal  improvement  and  required  restraints  for  agitation.  On  arrival  at  the  Emergency  Department  (ED),  she  is  speaking  in  one-  to  two-word  sentences.  She  is  more  confused  and  is  thrashing  on  the  stretcher.